Individual provider Active NPI

Abdulhakem A Alsadah, MSW

  • School Social Worker
  • Dearborn, MI
National Provider Identifier
1104076249
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
886488268 Issued in MI
Practice address
10415 Dix
Dearborn, MI 48120-1505
Phone
(313) 842-8402
Fax
(313) 842-3135
NPI assigned
Sep 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 886488268 MI Primary

Addresses

Primary practice location

10415 Dix
Dearborn, MI 48120-1505

Mailing address

2916 Mazin CT
Ypsilanti, MI 48197-7503
Phone (313) 842-8402

Other identifiers 1

IdentifierTypeStateIssuer
3434247MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
886488268MIMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
National Associations of Yemeni Americans, Inc CurrentSince Oct 31, 2021 Accepting new patients

Locations

10415 Dix
Dearborn, MI 48120
Phone (313) 842-8402

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1104076249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 MAZIN CT",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481977503",
            "telephone_number": "313-842-8402",
            "fax_number": "313-842-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10415 DIX",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201505",
            "telephone_number": "313-842-8402",
            "fax_number": "313-842-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSADAH",
        "first_name": "ABDULHAKEM",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-25",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MI",
            "license": "886488268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3434247",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.